| NPI | 1316106099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN ROSEN Doctor 661-255-2545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38490) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |